EFIQA: Label-Free Fundus Image Quality Assessment with Explainability
EFIQA proposes a label-free framework for fundus image quality assessment that uses anatomical priors to generate spatial quality maps. It first trains an unsupervised anomaly detector via masked anatomical inpainting to identify missing vasculature, then distills this knowledge into a shallow adapter for quality mapping. Evaluation on external datasets shows EFIQA outperforms supervised methods in both performance and explainability across diverse quality criteria.